PRECISION

ATTACHMENT

Dr. R. Arthi
MDS II year
CONTENTS
 Introduction
 Definition
 History
 Classification
 Indication
 Contraindication
 Advantages
 Disadvantages
 Conclusion
 INTRODUCTION

FPD RPD / IMPLANT

Attachments
Saneja R, Bhatnagar A, Raj N, et al. BMJ Case Rep 2020;13:e233744.
DEFINITION
Attachment: Defined as a mechanical device for the fixation, retention and stabilization of a

prosthesis. (GPT 9)

Steiger and Boitel (1959) a precision attachment is a means of bodily junction for a removable

bridge or partial denture.

DEFINITION ……….
PRECISION ATTACHMENT (GPT 9)

 A retainer consisting of a metal receptacle (matrix) and a closely fitting part (patrix); the matrix

is usually contained within the normal or expanded contours of the crown on the abutment
tooth/dental implant and the patrix is attached to a pontic or a removable partial denture.

OR

 An interlocking device, one component of which is fixed to an abutment or abutments, and the

other is integrated into a removable partial denture to stabilize and/or retain it.
 SEMIPRECISION :

A laboratory fabricated rigid metallic patrix of a fixed or removable partial denture that fits into

a matrix in a cast restoration, allowing some movement between the components; attachments

with plastic components are often called semiprecision attachments.(GPT 9)

HISTORY
 Herman ES Chayes 1906 – T shaped PA
 1912 – Designed Chayes attachment
 19 th century – ICA & ECA
 Winder – 1st unilateral fixed detachable RPD by screw joint retention – called Winders design.
 Ash (1912)- split bar attachment system
CLASSIFICATION
 Method of fabrication

1. PRECISION
2. SEMIPRECISION
MENSOR’S (1973)
An attachment classification based on shape, design and primary area of utilization of
attachment
(GOODKIND & BAKER, 1976):
Precision attachment

INTRACORONAL EXTRACORONAL

RESILIENT
NONRESILIENT
BECERRA & MAC ENTEE
(1987)
Precision attachment

INTRADENTAL EXTRADENTAL

FRICTIONAL CANTILEVER
MAGNETIC BAR
BASED ON THE FUNCTION OF THE
ATTACHMENTS:(FEINBERG & FEINBERG,
2002)
RIGID

PASSIVE
INDICATIONS
1. Long-span replacements
2. As stress breaker in Free-end saddles
3. Periodontal involvement that contraindicates fixed partial dentures
4. Situations which require maximum esthetics
5. Movable joints in fixed movable bridge work
6. As contingency devices for the extension or conversion of existing fixed appliances.
7. Sections of a fixed prosthesis may be connected with intra coronal attachments
CONTAINDICATION
 Pt sick & senile
 Sever periodontitis
 High caries rate
 Poor oral hygiene
ADVANTAGES &
DIADVANTAGES
ADVANTAGES DISADVANTGES

Improved esthetics and elevated psychological Complexity of design, procedures for fabrication &
acceptance clinical treatment
Direct the forces along the long axis of the teeth Minimum occlusogingival abutment height (4-6mm)

•Reduces non axial loading To incorporate attachment without overcontouring

Decreases torquing forces & stress to abutment Expensive

Less bulky and more esthetics Complexity of laboratory and clinical procedure

Better retention and stability Attachment maintenance (repair or periodic

replacement)
GUIDELINES
 Diagnosis ( IOPA, OPG, diagnostic casts, IOE,dental & medical H/O &critical evaluation of

bone & tissue )

 Establishing the path of insertion

 Positioning the attachments (II el , space b/w M & F components , same length, located
within the contour of abutment)
CONCLUSION
 The prosthodontists doing these complex procedures should have advanced training in

selection of case, abutment preparation, selection of appropriate attachment and designing of

the prosthesis.
 REFERENCE:
 Gerardo Becerra, Micheal Mac Entee. Classification of precision attachments. J Prosthet Dent 1987; 58

(3): 322-327.

 Mensor MC. Classification and selection of attachments. J Prosthet Dent 1973; 29: 494-97. 11. J. M.

Sossamon. Spectrum of function- a classification system for attachments in removable prosthodontic

therapy. QI 1986; 17 (3): 52-56. 12.

 Dr. Prabhakar angadi et al. Precision attachments-applications and limitations. Journal of Evolution of

Medical and Dental Sciences 2012; 1 (6): 1113-1121. 13.

 Harold W. Preiskel. Over denture made easy. A Guide to Implant and Root Supported Prosthesis. 1996

Quintessence books; pgno; 87